Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: DIVIDEND INCOME. AMOUNT: 2,414. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: IMPROVING ORAL AND MAXILLOFACIAL PATIENT CARE. GRANTEE NAME: OMS FOUNDATION. GRANTEE ADDRESS: 4850 GOLDEN PARKWAY BUFORD, GA 30518. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: EDUCATION IN ORAL AND MAXILLOFACIAL SURGERY. GRANTEE NAME: UNC DEPARTMENT OF OMS. GRANTEE ADDRESS: 149 BRAUER HILL CHAPEL HILL, NC 27599. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 7,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CREATED TO PROMOTE A HEALTHY RECOVERY AND LIFESTYLE FOR DENTAL TEAM . GRANTEE NAME: CARING DENTAL PROFESSIONALS. GRANTEE ADDRESS: 400 MAGNOLIA SQUARE CT. ABERDEEN, NC 28315. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: FREE DENTAL CLINICS CONDUCTED FOR ADULTS FROM UNDERSERVED HOUSEHOLDS.. GRANTEE NAME: NORTH CAROLINA DENTAL SCHOOL MISSION OF MERCY. GRANTEE ADDRESS: 1600 EVANS ROAD CARRY, NC 27513. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 13,000. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: CONFERENCE, CONVENTION, AND MEETING EXPENSES. AMOUNT: 7,000. DESCRIPTION: OMSPAC DONATION. AMOUNT: 2,000. DESCRIPTION: INSURANCE. AMOUNT: 1,836. DESCRIPTION: MANAGEMENT FEE. AMOUNT: 19,500. DESCRIPTION: SUPPLIES. AMOUNT: 619. DESCRIPTION: WEBSITE. AMOUNT: 1,304. DESCRIPTION: CREDIT CARD/MERCHANT FEES. AMOUNT: 2,010. TOTAL TO FORM 990-EZ, LINE 16: 34,269. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED GAIN ON INVESTMENTS. AMOUNT: 12,399. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ANNUAL MEETING DEPOSIT. BEG. OF YEAR AMOUNT: 3,750. END OF YEAR AMOUNT: 2,000. DESCRIPTION: VANGUARD BALANCE INDEX FUND. BEG. OF YEAR AMOUNT: 43,947. END OF YEAR AMOUNT: 51,153. DESCRIPTION: VANGUARD INDEX 500 FUND. BEG. OF YEAR AMOUNT: 39,527. END OF YEAR AMOUNT: 46,786. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: PREPAID DUES. BEG. OF YEAR AMOUNT: 41,650. END OF YEAR AMOUNT: 13,950. |
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